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Individual

EMILY SUE PURK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
482 S LANDMARK AVE, BLOOMINGTON, IN 47403-5000
(812) 333-8474
Mailing address
9747 E SYLVANIA RD, BLOOMFIELD, IN 47424-7105
(812) 606-6370

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33009087A
IN
1041C0700X
Clinical Social Worker
Primary
33009087A
IN

Other

Enumeration date
02/26/2022
Last updated
03/30/2026
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